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Updated: Jun 4, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Epigenetics of thyroid cancer and novel therapeutic targets
Diego Russo1, Giuseppe Damante, Efisio Puxeddu
1Dipartimento di Scienze Farmacobiologiche, Università di Catanzaro, 88100 Catanzaro, Italy. d.russo@unicz.it
Abstract:
An increasing body of evidence suggests that epigenetic changes (DNA methylation, remodeling and post-translational modification of chromatin) play important roles in thyroid tumorigenesis, as a result of their effects on tumor-cell differentiation and proliferation. Epigenetic silencing of various thyroid-specific genes has been detected in thyroid tumors. These changes can diminish the tumor's ability to concentrate radioiodine, which dramatically reduces treatment options. Epigenetic changes in tumor-promoting and tumor-suppressor genes also contribute to the dysregulation of thyrocyte growth and other aspects of tumorigenesis, such as apoptosis, motility and invasiveness. We provide a brief overview of the mechanisms underlying epigenetic regulation of gene expression and the current methods used to investigate it. This is followed by a review of the principal epigenetic alterations detected in thyroid cancer cells, epigenetic strategies for treating thyroid cancers and data from preclinical and clinical studies (some still underway) on the use in this setting of demethylating agents and histone deacetylase inhibitors.
Insights
Epigenetic changes are crucial in thyroid cancer development and progression. Investigating these alterations offers new therapeutic strategies targeting epigenetic modifications for improved patient outcomes.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- Epigenetic alterations, including DNA methylation and chromatin remodeling, are increasingly recognized in thyroid tumorigenesis.
- These changes affect tumor cell differentiation, proliferation, and gene expression, impacting radioiodine uptake and treatment efficacy.
Purpose of the Study:
- To review the mechanisms of epigenetic regulation in gene expression.
- To summarize principal epigenetic alterations in thyroid cancer cells.
- To explore epigenetic strategies and therapeutic agents for thyroid cancer treatment.
Main Methods:
- Overview of epigenetic regulatory mechanisms.
- Review of current investigation methods for epigenetic changes.
- Analysis of preclinical and clinical data on epigenetic therapies.
Main Results:
- Epigenetic silencing of thyroid-specific genes is observed in thyroid tumors, reducing radioiodine concentration.
- Alterations in tumor-promoting and tumor-suppressor genes dysregulate thyrocyte growth, apoptosis, motility, and invasiveness.
- Demethylating agents and histone deacetylase inhibitors show potential in preclinical and clinical studies.
Conclusions:
- Epigenetic modifications are key drivers in thyroid cancer.
- Understanding these changes is vital for developing targeted therapies.
- Epigenetic-based treatments, such as demethylating agents and HDAC inhibitors, represent a promising therapeutic avenue for thyroid cancer.
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